survivalkit.elmira.eduCHEERLEADING FUNDRAISER - Survival Kit

Online transactions for the Survival Kit have ended. Contact Amber Myers, Head Cheerleading Coach at amyers@elmira.edu for assistance. CHEERLEADING FUNDRAISER Hello Parents and Family!! It is nearing that time of year again for your students... FINALS WEEK!! What better way to start your favorite student’s finals week off the right way, than by sending them a Finals Week Care Package? The kit will include a few finals week essentials such as pencils, pens, highlighters, note cards, etc., as well as some studying "fuel" such as candy, snacks, hot cocoa, and much, much more! Please fill out the form at the bottom (transaction is $20) OR Print this form and send back with a $20 check or money order by Friday, November 19 to: (please make checks payable to Elmira College) Elmira College Cheerleading One Park Place Elmira, NY 14901 If you have any questions, please feel free to contact Head Cheerleading Coach, Amber Myers at amyers@elmira.edu or (607) 483-7150 (email is preferred). Survival Kit Information Student’s Full Name & Class Year Student’s Name is Required Dorm and Room Number Dorm Room is Required Student’s Cell Phone Number Contact number is Required Survival Kit From From is Required Personal Note Billing Information *Your Email Address Email is Required for Receipt *First Name (as it appears on the card) Name on card is Required *Last Name (as it appears on the card) Name on card is Required *Address Address is Required *City City is Required *StateSelect StateAlabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virgina Wisconsin Wyoming Ontario British Columbia Yukon Alberta State is Required *Zip Code Zip Code is Required Payment Amount $20 *Credit Card Type MasterCard Visa Discover AMEX Card Type is Required *Credit Card Number Card Number is Required *Expiration Date MM 01 02 03 04 05 06 07 08 09 10 11 12 / YYYY 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 Exp. Date is Required *CVV2 Code (3-4 Digits) CVV2 is Required What is this? X Please wait while your transaction is being...